Feedbacks Using behaviOral econOmic theories on STEP countS in Cardiovascular Disease Patients (FOOTSTEPS) Using Novel Daily Step Counts Retrieving System A Pilot Study

IF 1.2 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS International heart journal Pub Date : 2024-01-31 DOI:10.1536/ihj.23-415
Takahiro Suzuki, Jeff Rewley, Keiko Sugibuchi, Yoko Suzuki, Sachiko Suzumura, Nanami Tsurugi, Daisuke Okamura, Koichi Node, Atsushi Mizuno
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Abstract

The effectiveness of gamification-based feedback systems that utilize non-monetary points to promote exercise among cardiovascular disease (CVD) patients has not been fully evaluated. This study aimed to evaluate the effectiveness of a gamification program using non-monetary points on the daily step counts in CVD patients. We collected 30 patients with a history of heart failure or myocardial infarction at a single tertiary center between January 9, 2023, and April 13, 2023. The primary outcome was the change in daily step counts. The baseline step counts were compared with those during the 4-week gamification and the 1-week follow-up period. A total of 29 participants with a mean age of 64.6 years were finally enrolled, and 8 (27.6%) were female. Among them, 23 (79.3%) had a history of old myocardial infarction, and 9 (31.0%) had a history of chronic heart failure. During the intervention period, the average daily step counts increased significantly from baseline in weeks 1-5 (week 1: 1165 steps; 95% CI, 319-2011; P = 0.009, week 2: 1508; 635-2382; P = 0.001, week 3: 1321; 646-1996; P < 0.001, week 4: 1436; 791-2081; P < 0.001, week 5:1148; 436-1860; P < 0.001). Higher body mass index was statistically associated with the smaller difference in step counts from the baseline, and the lower proportion of achievement of step count goals. Female sex was significantly associated with the higher proportion of achievement of step count goals. In conclusion, this pilot prospective interventional study demonstrated the effectiveness of gamification-based feedback systems that utilize non-monetary points to increase daily step counts in CVD patients.

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使用新型每日步数检索系统对心血管疾病患者步数(FOOTSTEPS)进行行为经济学理论反馈 试点研究
利用非货币积分促进心血管疾病(CVD)患者锻炼的游戏化反馈系统的有效性尚未得到全面评估。本研究旨在评估利用非货币积分的游戏化项目对心血管疾病患者每日步数的影响。在 2023 年 1 月 9 日至 2023 年 4 月 13 日期间,我们在一家三级医疗中心收集了 30 名有心力衰竭或心肌梗死病史的患者。主要结果是每日步数的变化。将基线步数与 4 周游戏化期间和 1 周随访期间的步数进行比较。最终共有 29 名参与者参加,平均年龄为 64.6 岁,其中女性 8 人(占 27.6%)。其中,23 人(79.3%)有心肌梗死病史,9 人(31.0%)有慢性心力衰竭病史。在干预期间,第 1-5 周的日均步数较基线有显著增加(第 1 周:1165 步;95% CI,319-2011;P = 0.009,第 2 周:1508;635-2382;P = 0.001,第 3 周:1321;646-1996;P <;0.001,第 4 周:1436;791-2081;P <;0.001,第 5 周:1148;436-1860;P <;0.001)。据统计,体重指数越高,步数与基线的差异越小,达到步数目标的比例越低。女性与实现步数目标的比例较高明显相关。总之,这项试验性前瞻性干预研究证明了基于游戏的反馈系统利用非货币积分增加心血管疾病患者每日步数的有效性。
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来源期刊
International heart journal
International heart journal 医学-心血管系统
CiteScore
2.50
自引率
6.70%
发文量
148
审稿时长
6-12 weeks
期刊介绍: Authors of research articles should disclose at the time of submission any financial arrangement they may have with a company whose product figures prominently in the submitted manuscript or with a company making a competing product. Such information will be held in confidence while the paper is under review and will not influence the editorial decision, but if the article is accepted for publication, the editors will usually discuss with the authors the manner in which such information is to be communicated to the reader.
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